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Introduction
Breast Reduction
Comfort Paired With Aesthetics: Breast Reduction
Located in Manhattan and Long Island, breast reduction is one of our most popular procedures. For many women, overly large breasts—often described as disproportionately large breasts or excessively large breasts—are more than just a cosmetic concern; they can cause daily physical strain and emotional frustration. These excessively large breasts may lead to chronic back, neck, and shoulder pain, persistent skin irritation, and difficulty finding well-fitting clothing, significantly impacting quality of life. Breast reduction surgery offers a transformative solution, not only easing discomfort but also restoring confidence and comfort in one’s own body. While the choice to undergo surgery can be deeply personal and sometimes difficult, countless women find it to be a life-changing step toward improved health and well-being.
If you are looking to get a breast reduction in Long Island, the Upper East Side, and the greater New York City metropolitan area, you should consider coming to see board-certified plastic surgeon Dr. Jeremy Nikfarjam at New You Plastic Surgery, who specializes in breast reduction plastic surgery in New York City.
What is Breast Reduction?
Breast reduction surgery, also known as reduction mammaplasty, is a procedure designed to decrease the size and weight of overly large breasts. It involves removing excess fat, glandular tissue, and excess skin, and is specifically designed to remove excess breast tissue, followed by reshaping and lifting the breasts to achieve a more balanced and comfortable silhouette. This plastic surgery procedure aims to provide both functional and aesthetic improvement.
Many individuals choose breast reduction for a mix of medical and personal reasons, ranging from back, neck, or shoulder pain to difficulty with physical activity or dissatisfaction with appearance. Beyond the physical relief, the surgery can also bring a boost in confidence and make it easier to find well-fitting clothing.
While the procedure can be performed at almost any age, it’s generally recommended to wait until the patient’s breasts have finished developing and body weight is stable. In cases where surgery is done too early, further changes in the body may require additional procedures later on.
What Sets Dr. Nikfarjam Apart
as the Premier Breast Reduction Practice in New York City?
- Dr. Jeremy Nikfarjam is a highly regarded, board-certified plastic surgeon and a leading breast reduction surgeon in New York City. As a skilled surgeon with an exceptional reputation for delivering transformative results in breast reduction surgery, he has successfully performed hundreds of breast reduction procedures, helping women from all walks of life find relief from physical pain and emotional distress caused by overly large breasts.
- Dr. Nikfarjam has built his practice on precision, innovation, and patient-centered care. Known for his minimally invasive techniques and natural-looking results, he has earned a loyal following of patients from across the U.S. and internationally.
- Dr. Nikfarjam has been featured in multiple media outlets and has received top accolades from RealSelf and Castle Connolly for his outstanding patient outcomes and surgical innovation. He has also been named a Top Doctor by New York Magazine.
- He completed his medical degree at the prestigious NYU Grossman School of Medicine and his plastic surgery residency at one of the most competitive programs in the country, further enhancing his skills and commitment to surgical excellence.
- Dr. Nikfarjam is board-certified by the American Board of Plastic Surgery (ABPS), a distinction awarded only to those who meet rigorous standards in training, knowledge, and patient care. He is also a fellow of the American College of Surgeons (FACS) and an active member of ASPS and ASAPS.
- Dr. Nikfarjam brings a unique, holistic approach to plastic surgery, ensuring that every procedure supports the patient’s physical health, emotional well-being, and long-term lifestyle. His dedication to safety, personalization, and follow-up care makes him one of the most trusted names in breast reduction in NYC.
Breast Reduction Quick Facts
- Surgery Time: Approximately 2 to 4 hours, depending on the extent of the reduction and complexity of the case, and typically performed under general anesthesia.
- Recovery: Most patients return to work within 1–2 weeks; full recovery may take 4–6 weeks.
- Results: Breast reduction results are noticeable immediately after surgery, but final results and scar maturation may take up to one year as swelling subsides. Results are long-lasting with proper lifestyle maintenance.
What Are the Benefits of Breast Reduction?
The benefits of breast reduction in Long Island and NYC include the following:
- Improved confidence and self-expression
- Easier to shop for bras and other types of clothing.
- Back feels better. This is the greatest benefit for many women choosing this surgery.
- Bras don’t hurt and are easier to fit into
- Exercise with ease
- Skin feels better. Skin irritation under large breasts is common and can be reduced with this type of surgery.
- Easier to breathe. Some women find it easier to breathe with smaller, more proportionate breasts.
Whatever your reason for needing a breast reduction may be, when you come to see Dr. Nikfarjam, he will talk through your options and help you make the right decision. He will also discuss your plastic surgery goals to ensure the procedure aligns with your desired outcomes. This type of surgery can have a profoundly positive impact on the rest of your life.
Symptom Relief: How Breast Reduction Can Improve Your Comfort and Health
Living with overly large breasts can lead to a range of physical discomforts that impact daily life. Many women experience persistent shoulder pain, neck pain, and skin irritation beneath the breasts due to the constant weight and pressure of excess breast tissue. These symptoms can make even simple activities challenging and may contribute to poor posture and chronic fatigue. Breast reduction surgery is designed to address these issues by removing excess breast tissue and reducing breast size, which can significantly alleviate physical discomfort. During your breast reduction consultation, a skilled plastic surgeon will assess your unique symptoms and discuss how the procedure can help relieve pain, improve mobility, and enhance your overall well-being. By choosing breast reduction, you can look forward to a life with less physical strain and greater comfort, allowing you to move more freely and enjoy daily activities without the burden of large breasts.
Who Are the Best Candidates for the Breast Reduction Procedure?
Breast reduction surgery may be a great option for individuals struggling with the physical and emotional impact of overly large breasts. You might be a strong candidate if you’re experiencing:
- Ongoing pain in the neck, shoulders, or back
- Deep indentations from bra straps
- Skin irritation or rashes beneath the breasts
- Tingling or numbness due to nerve compression
- Difficulty participating in physical activities
- Frustration with how your breasts affect your self-esteem
- Trouble finding clothing or bras that fit comfortably
A candidate for breast reduction is typically someone whose health, physical symptoms, and personal goals align with the benefits of the procedure.
This procedure can be considered at nearly any age — including the teenage years — but is typically recommended once breast development is complete. Undergoing surgery before full maturity may mean a second procedure is needed later. It’s also important to note that candidates who are pregnant, planning to become pregnant, undergoing significant weight changes, or who are medically unstable may be advised to wait.
Each patient is unique, so Dr. Nikfarjam will take the time to perform a thorough evaluation, including an assessment of your overall health and breast tissue, to determine if this procedure is right for you.
What’s the
first step?
Breast Reduction first steps
Your journey begins with a personalized consultation at our Long Island or NYC office. During this appointment, Dr. Nikfarjam will walk you through the procedure, discuss your goals in detail, and answer any questions you may have.
This one-on-one session is a chance for you to openly share your desired outcome, whether it’s relief from discomfort, improved mobility, or a more proportional appearance. Dr. Nikfarjam will carefully review your medical history, examine your breast tissue, and assess the soft tissue of your breasts to evaluate tissue volume and plan the procedure. He will ensure you fully understand the benefits and risks before moving forward.
You’ll also receive a customized surgical plan, including information about preoperative instructions, recovery expectations, and pricing. Depending on your medical needs, you may be asked to avoid certain medications or fast prior to surgery to help ensure a smooth and safe procedure.
Breast Reduction Techniques: Modern Approaches for Optimal Results
Advancements in breast reduction techniques have made the procedure more effective and patient-friendly than ever before. Today’s best breast reduction surgeons utilize a variety of methods tailored to each patient’s unique anatomy and goals, with a focus on achieving natural-looking results and minimal scarring. One of the most popular modern approaches is the short scar breast reduction, which uses smaller incisions to reduce visible scarring while still allowing for the precise removal of excess breast tissue, glandular tissue, and skin.
During your initial consultation, your plastic surgeon will assess your breast size, shape, and overall health to determine the best breast reduction technique for you. The breast reduction process involves carefully removing excess tissue and reshaping the remaining breast tissue to create a balanced, proportionate appearance. Thanks to ongoing innovations in plastic surgery, patients can expect a smoother recovery, less downtime, and beautiful, lasting results from their breast reduction procedure.
How Do I Prepare for My Breast Reduction?
To prepare for your breast reduction, Dr. Nikfarjam and his team will guide you through a detailed checklist:
- Medical Clearance: You may need to get lab testing or a medical evaluation.
- Medications: Avoid blood thinners and nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen at least two weeks before surgery.
- General Anesthesia Preparation: The procedure is performed under general anesthesia, so that you will receive specific instructions about fasting and medication adjustments before surgery.
- Smoking Cessation: If you smoke, you must stop several weeks before and after the surgery, as smoking affects healing.
- Arrange Support: Plan for someone to drive you home and stay with you for the first 24–48 hours.
- Home Prep: Prepare a comfortable recovery space with extra pillows, easy-to-reach essentials, and loose-fitting clothing.
Significant weight gain or loss before surgery can affect your breast size and the longevity of your results. Be sure to discuss any recent or planned changes in weight with Dr. Nikfarjam during your consultation.
What to Expect on the Day of Breast Reduction Surgery
On the day of your breast reduction in Long Island or New York City, Dr. Nikfarjam and his team will guide you through every step to ensure you feel informed and at ease. Once you’re settled and prepped for surgery, anesthesia will be administered to keep you comfortable and pain-free throughout the procedure.
The surgical process begins with carefully placed incisions, tailored to your unique surgical plan. Based on your goals and what was discussed during your consultation, Dr. Nikfarjam may use one of several incision techniques:
- A lollipop incision around the areola and down to the breast crease
- A keyhole pattern for moderate reduction
- Or an anchor-shaped incision—the most extensive option—which circles the areola, extends vertically to the crease, and continues along the fold beneath the breast. This method offers the greatest ability to reshape and reduce larger breasts.
Once the incisions are made, excess breast tissue, fat, and skin are removed. Dr. Nikfarjam will then reshape the remaining tissue and elevate the breasts to a more youthful, proportional position. The nipple and areola are repositioned to a higher, more natural spot while remaining connected to their original blood and nerve supply whenever possible. In some cases, if the breasts are extremely large, the nipple and areola may need to be completely detached and relocated—this can affect sensation and lengthen the healing process.
To refine the appearance, the size of the areola may be reduced by trimming the surrounding skin. The final step involves closing the incisions with precision: deep sutures help support the new breast shape internally, while the outer skin is sealed using stitches, surgical tape, or adhesive.
While incision lines are permanent, they typically fade and become less noticeable over time, especially when cared for properly during recovery.
Before and After Photos: Real Patient Transformations
Seeing real patient transformations through before-and-after photos can be incredibly helpful for anyone considering breast reduction surgery. These images provide a clear visual representation of the improvements that can be achieved, from reducing physical discomfort to enhancing self-confidence. By reviewing before and after photos, you can get a sense of the skill and artistry of the best breast reduction surgeons, as well as what is possible for your own results. Many plastic surgery practices in NYC feature galleries of breast reduction before and after photos, allowing you to see the range of outcomes and find examples that closely match your goals. These photos not only highlight the dramatic changes in breast size and shape but also demonstrate the positive impact that breast reduction can have on a woman’s quality of life. Reviewing these transformations can help you make an informed decision and feel more confident as you move forward with your breast reduction journey.
Breast Reduction Recovery
Once your breast reduction procedure is complete, you’ll be moved to a comfortable recovery area where medical staff will monitor you as the anesthesia begins to wear off. During this time, your body starts the initial healing process, and you’ll be prepared to head home with the proper post-surgical care instructions.
Your incisions will be covered with gauze or dressings, and you’ll be fitted with a supportive surgical bra or elastic bandage. This garment plays a vital role in minimizing swelling, protecting your new shape, and promoting a smooth recovery.
In some cases, a small drainage tube may be placed just beneath the skin to help remove any excess fluid or blood. This is a normal part of the healing process and is typically removed after a short period. To keep you as comfortable as possible, Dr. Nikfarjam may also use a pain pump to deliver targeted relief and reduce your reliance on stronger medications.
Pain management is a key component of your recovery. Dr. Nikfarjam will walk you through your medication plan, explaining which prescriptions or over-the-counter options are best to manage discomfort while your body heals. He’ll also provide detailed instructions on how to care for your dressings, what signs of healing to monitor, and when to reach out if something doesn’t seem right.
Since you’ll be feeling groggy and physically limited after surgery, it’s essential to have a trusted friend or family member drive you home. Plan to rest and avoid any lifting, bending, or strenuous activity for the first several days to give your body the best chance at a full, complication-free recovery.
Recovery Timeline
Your recovery timeline should look something like this:
- Week 1: You will need to monitor any pain, swelling, and/or bruising, and significantly limit your activity. You will be temporarily prescribed medication to help alleviate any pain.
- Weeks 2-3: You will start to feel much better and, depending on what your job requires, you should be able to return to work; however, you will need to limit your exercise and activities still.
- Weeks 4-5: You will need to continue wearing your support bra, but you will also be able to increase your physical activity at this time. You must continue to be gentle with your breasts.
- Week 6 and Beyond: You will continue performing your breast self-examination, and you should be sure to schedule routine mammograms. As your healing progresses, you can also discuss scar optimization and resumption of normal activity with Dr. Nikfarjam.
7 Tips for Recovery
- 1. Follow Instructions: Carefully follow all post-op instructions from Dr. Nikfarjam.
- 2. Wear the Right Bra: Use your support bra consistently for several weeks to promote healing.
- 3. Hydrate and Eat Well: A nutritious, anti-inflammatory diet aids recovery.
- 4. Avoid Lifting: Don’t lift anything heavy (including children or pets) for at least 4–6 weeks.
- 5. Sleep on Your Back: This helps reduce pressure and supports healing.
- 6. Track Progress: Take photos to monitor changes, and keep up with all follow-up appointments.
- 7. Scar Care: Use silicone gel or strips as recommended by Dr. Nikfarjam for scar optimization.
How Much Does Breast Reduction Cost in Long Island, NY?
The cost of breast reduction in Long Island and NYC can vary, depending on a number of factors:
- The size of your breasts
- Type of incision being made
- Amount of tissue being extracted and skin being reduced
- How long will the surgery take
When you discuss your surgery with Dr. Nikfarjam during your consultation, he will be able to give you detailed information on the plan that will be ideal and tailored to your needs, as well as the price you can expect to pay. We offer financing for all our patients to make this procedure affordable and accessible.
Why Choose
New You?
When you come to New You at any of our Long Island, Upper East Side, and greater New York City area offices, you will be receiving expert treatment from world-renowned surgeons and cutting-edge techniques. Dr. Jeremy Nikfarjam is an American Board of Plastic Surgery Board Certified Plastic Surgeon based in Long Island and Manhattan who is well known for his expertise in emergency, cosmetic, and reconstructive plastic surgery. He also has medical affiliations with the American Society of Plastic Surgeons (ASPS), the American Society for Aesthetic Plastic Surgery (ASAPS), and the American College of Surgeons (FACS).
For patients who prefer specialized care from a woman, our practice also offers the option to be treated by a female plastic surgeon, ensuring personalized attention and comfort throughout procedures such as breast reduction.
Dr. Nikfarjam is sought out by patients from across the United States and abroad for his specific technique and expertise in nearly every aspect of plastic and reconstructive surgery, including breast reductions, abdominoplasties, rhinoplasties, silicone/biopolymer removal, and complex revisionary surgeries.
Dr. Nikfarjam leads his team in supporting his vision that plastic surgery is holistic, allowing space for positive lifestyle changes that give patients a happier, healthier state of being and lifelong improvements in overall health. A vanguard of a new generation of plastic surgeons, Dr. Nikfarjam brings a refreshing perspective to a field that has often been perceived as rigid and unapproachable. As accessible as his procedures are, Dr. Nikfarjam himself is as well. Patients take great comfort in the close contact and care he establishes with each patient from initial consultation through surgery and beyond. “Dr. Nik,” as he is often called, is well known for being personable and readily available to all of his patients.
Schedule a
Consultation
To schedule a consultation with Dr. Nikfarjam, you can call our practice or contact us via the patient portal and share your details so our staff can guide you through the process. Dr. Nikfarjam and his team are excited to meet with you and help you restore your body and your life.
Breast Reduction FAQ’S
Out-of-Town Patients 
Financing 
Leave a Review Resources
New you resources
We know that the decision to undergo plastic surgery can be a big one. There are many things to consider before your procedure, regardless of whether you live in the greater New York City area or are traveling from out of state. Our knowledgeable and friendly team wants to make your experience as seamless and effortless as possible, which is why we provide some informational resources to make your journey to a new you a little less stressful.